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CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this pertit tay be subject to "deed restrictions" which may be lore restrictive than City regulations. The undersigned assutes responsibility for cotpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they tay be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be cited for a .isdeleanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requiretents tay apply for the intended work, they are advised to contact the City of Zephyrhills Building Department, (BI3} 788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection Guide" prepared by the Florida Departtent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the "owner", I certify that I have obtained a copy of the above described doculent and promise in good faith to deliver it to the "owner" prior to cotmencelent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work will be done in cospliance with all applicable laws regulating construction, zoning, and land developlent. Application is hereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or installation has cOltenced prior to issuance of a pertit and that all work will be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental agencies lay apply to the intended work, and that it is IY responsibility to identify what actions I lust take to be in cOlllpliance. Such agencies include bllt ~if! not lilllited to: * Departlent of Environ.ental ReQuIation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastewater Treatlent * Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses * ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways * Deoarttent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treatlllent. Septic Tanks * US Environ.ental Protection AQency - Asbestos abate.ent I also certify that, if fill aaterial is to be used in Flood Zone "A" or "A,etc.", it is understood tllat a dl.ainage plan addressing a "cotpensating volUMe" will be sublitted which is prepared by a professional engineer registe,cd in the State of FIDrida prior to permit issuance. A perlit issued shall be construed to be a license to proceed with the work and not as authority to vioi~te, cancel alter, or set aside any provisions of.. the ~~chnical codes, nor shall issuance of a pH.it prevent the Building Official frc'lfI thereafter requiring a correction Df ernrsin plans, constructic.n, [.r violations of any code. Every perillit isslll!d~hdll bec['le invalid unless the work authorized by such per.it is cO.lenced within six tonths of issuan~e, or if work authol lzed by the perMit is suspended or abandoned for a peric.d of six tonths after the tile the work is cOlimenced: . One 90 day l'~t;:iisioll uftile, may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six lonth period, or the project will be considered dbilildoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A1TORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE SIGNATURE ------------------------------ ---------------------------------- OWNER OR AGENT CONTRACTOR DATE DATE ----------------------------------- --------------------------------------- NOTARY AS TO OWNER OR AGENT NOTARY AS TO CONTRACTOR ----------------------------- ----------------------------- MY COMMISSION EXPIRES MY COMMISSION EXPIRES ------------------ ----------------------